Hedis Coordinator 100% Remote
Job Title: HEDIS Coordinator The HEDIS Coordinator plays a crucial role in supporting healthcare quality initiatives by ensuring accurate collection, validation, and reporting of HEDIS (Healthcare Effectiveness Data and Information Set) data. This position involves partnering with internal teams and external provider offices to retrieve medical records, monitor quality metrics, and identify opportunities for improvement. The coordinator is vital in ensuring compliance with regulatory requirements and supporting overall quality performance goals.
Responsibilities
- Retrieve, review, and validate medical records using Electronic Medical Record (EMR) systems to support HEDIS data collection.
- Coordinate medical record requests and follow up with provider offices to ensure timely submission of required documentation.
- Monitor productivity and accuracy metrics, ensuring high-quality data abstraction and reporting.
- Support HEDIS project timelines by tracking outreach progress and resolving barriers to record retrieval.
- Analyze quality data and assist in identifying gaps in care and opportunities for improvement.
- Assist in the development and execution of action plans to improve HEDIS scores and overall quality performance.
- Maintain accurate documentation of all activities within internal tracking systems.
- Collaborate with cross-functional teams including quality improvement, operations, and provider relations.
- Ensure compliance with HIPAA and data privacy regulations when handling protected health information.
Essential Skills
- Proficiency in medical records management and data entry.
- Experience with Electronic Medical Records (EMR) systems.
- Understanding of medical terminology and quality improvement processes.
- Familiarity with healthcare support and health information management.
Additional Skills & Qualifications
- Associate's Degree or higher.
- Active Medical Assistant licensure or LPN licensure in good standing.
- Previous HEDIS audit experience is required.
Work Environment
This position offers a 100% remote work environment, providing all necessary equipment. The role involves working independently while collaborating as part of a team. Job Type & Location This is a Contract position based out of Saint Louis, MO. Pay and Benefits The pay range for this position is $25.00 - $38.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jun 9, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] for other accommodation options. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.